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Senior Lifestyle












Five Wishes


ATTENTION: All Farm Wives, Country Gals, and Agribusiness Women!



Please join us for the

10th Annual



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at the Lifelong Learning Center Northeast Community College • 601 E. Benjamin Ave. • Norfolk, Nebraska


Full Schedule & Registration information is available at northeast.edu/Agceptional 2

Questions? Call (800) 348-9033, ext. 7181 or (402) 844-7181.



Cost: $39 (Registration is going on now!)


Have you Laughed Today? Autumn Trivia Family Holiday Gifting Gifts for the entire family 10 Essential Gardening Tips for Fall Prepare your plants for the winter months Designing for Life CMBA’s vision for senior living Maximizing Social Security Tips on applying for Social Security


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Stensland Books With Author Doris Stensland Alzheimer’s and the Holiday’s Prepare for the holidays with your loved one Making Sense of Social Security Numbers With Stifel Financial Meeting End-of-Life Needs With Christy Smith Funeral Home Cookies for Veterans The Gift for Yanks Tour


HWY 75 Salvage Homemade gifts



Thanksgiving in Everything With Pastor Todd Thelan


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Nature’s Bond A special bond between a mother and daughter One of My Favorite Things Making your campfire enjoyable Joy Throughout The Year Embracing the Christmas Season



From the Publisher’s Desk


ADVANTAGE Publisher/Editor-In chief Judith Stanton Graphic Design Jessica Eriksen Interns Amy Jackson / Editing Rae Clinkenbeard / Photography Lindsey Smith / Marketing

Travel Blogger Sonya Thoreson

Senior Lifestyle Advantage, LLC PO Box 33 Laurel, NE 68745



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Holiday Recipes Carrying on the traditions


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Giving the Gift of Grandbox Gift boxes for Grandparents and Seniors Ski for Light An opportunity for the disabled



Live Healthy, Live Active, Live Life

The Traveler

For subscription requests please fill out the form on our website seniorlifestyleadvantage.com

A Trip of a Lifetime

Integration Physical Theropy

Decorating Christmas Cookies The finishing touch




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Please ask the publisher’s permission before using content for other purposes.

Freedom in Motion

Explore Juzo Compression Garments

Exercise is still the best Medicine With Michael Piplani, Chief Medical Officer, M.D. Five Wishes Acknowledge the wishes of your loved one Pulmonary Hypertension Recognizing the symptoms

PLUS... 6, 7 50 62

Road Trip Fall Back Medicare Supplement Insurance



Holiday Decorating Trends 7 Tips to make your home feel special



ADVERTISING Judith Stanton EMAIL: sales@seniorlifestyleadvantage.com P: 402-200-9334

Everyone has a story to tell. What is yours? Senior Lifestyle Advantage magazine is accepting submissions for articles, photography, design, and story content. If you or someone you know is passionate in these areas, we want to hear from you. SENIORLIFESTYLEADVANTAGE.COM

How excited I am to write this letter! It’s our third Fall/Winter Edition. Even though another calendar year is almost completed, we look forward to celebrating milestones with you. My hope is that the many inspirational messages conveyed within the covers will empower and inspire you to make a difference in your life and in the life of others. Our goal is to provide seniors with a positive message through expert insight, personal stories, interviews, healthy recipes, and true stories of faith. “We are changing the way we think about aging.” Thank you for your support throughout the year! It’s a beautiful sunny day as I look outside my window. The bean fields are starting to turn golden yellow, while the corn fields glimmer in harvest colors of orange and red. Life happens in seasons. As seasons change, we can see our reflection, growth, sorrow, hope and joy. Seasons of passion and growth can often be tested, and I am so grateful to complete another season with you. Our journey isn’t always easy, but it’s possible when we walk the path together. Let’s rejoice in the blessings and celebrate the wins together, giving thanks and claiming victory every day. “There is time for everything, and a season for every activity under the heavens.” (Eccl. 3:1) As the harvest colors appear and days get shorter, embrace the time together. Step outside and feel the crisp, cool air in the morning. Make a pumpkin memory visiting a pumpkin patch, or peruse the specialties at local markets and bake a recipe. Look for fall fruits and nuts—they are delicious in oatmeal and desserts. Enjoy nestling in at home on a Saturday night with your family. Be intentional and share love. This issue of Senior Lifestyle Advantage Magazine is full of local events you won’t want to miss. Learn a few trades from others, cheer for your favorite teams, volunteer in your communities and find joy in the simpler times. Attend the holiday market fairs, listen to some Christmas orchestra melodies’, fellowship downtown, and decorate the sweetest treats of the season. As we close the chapter in 2018, a new one will soon begin. During all seasons, we look forward to celebrating them with you. I am especially thankful for our Sponsors and their services. We invite you to show your support as well. Our creative team is exceptional, I am privileged to to know and work side by side with them. A big thank-you to our families for their love and amazing support.

This one is for you, Dad (Larry E. Westphalen) 12/31/17. Joyously, Judith


Local Variety Norfolk, NE Fall/Winter 2018

Creatively Fired Pottery to Paint Creativity Lives Here – glass fusion, pottery painting 711 S. 13th, Ste 300 Norfolk, NE 68701 (402) 750-7635 www.creativelyfiredtopotterytopaint.com Facebook

Joseph’s Norfolk College of Beauty

Beautiful Careers – New Clients Welcome 202 Madison Ave. Norfolk, NE 68701 (402) 371-3358 www.josephscollege.edu Facebook

Norfolk Art Center

Artista Ranch LLC

Horse Boarding & training, family riding, special events, & beautiful location. 55050 W. Hwy 275, Norfolk, NE 68701 (402) 992-0445 www.aristaranch.com Facebook

Be Inspired 305 N. 5th, Norfolk, NE 68701 (402) 371-7199 www.norfolkartcenter.org Facebook



Healthy Paws

Dog & Cat Grooming with love 232 Norfolk Ave., Norfolk, NE 68701 (402) 371-0789 www.healthypawsllc.com Facebook 7

Calendar of Events Fall/Winter 2018

Celebrate your local communities!

30th Annual Fall Home & Garden Expo October 27-October 28 10:00am – 7:00pm 11:00am – 5:00pm Century Link Center Mid America Expositions, Inc. 402-346-8003 info@showofficeonline.com

Downtown Festival of Tree Lighting November 20 12:00am – 11:59pm Norfolk, Nebraska, www.travelnebraska.com

Piece of Cake “Cookie Decorating & With Santa/ Elves Free Event Ph: 712-541-6046

Market Holidays at the Fair

November 3 - November 4 9:00am – 5:00pm 401 W. 6th St. Madison, NE 68748

Mannheim Steamroller Christmas



November 21 7:00pm Washington Pavillion 301 S. Main Ave. Sioux Falls, SD

November 24 9:00am – 11:00am Piece of Cake 25 Central Ave. S. Lemars, IA 51031 – Facebook

Maker’s Market Handmade & Vintage Vendors

November 23 5:00pm – 9:00pm November 24 10:00am – 5:00pm The Beaumont Event & Concert Hall 2611 N. Hwy 15 Wayne, NE 68787 402-369-6428

A Hometown Christmas – Theater

December 20 7:00pm The Browns Community Theater 11 Central Ave. NW Lemars, IA 51031 Phone: 888-202-2712 9

Q: Who helps the little pumpkins cross the

Family Holiday Gifting

road to school?


Gifts for Him

The Crossing Gourd.

Q: What do you get when you drop a pumpkin? A: Squash.

Carnivore Club subscription Each month, the special man in your life will receive an impressive fauxwood box stuffed with handcrafted cured meats from top artisans. Visit CarnivoreClub.co to order now.

Q: Why did the lions move at the end of summer?

A: Because the pride goeth before the fall! Q:

Why do trees hate going back to school in the fall?

A: Because they’re easily stumped! Q: Why was the tiny ghost asked to join the football team? A: They needed a little team spirit.

Have you laughed today?

RIDDLE 2: When does Christmas come before Thanksgiving? RIDDLE 3: I appear once in summer and twice in autumn, but never in winter. What am I? ANSWER 1: A candle. ANSWER 2: In the dictionary. ANSWER 3: The letter “U” 10 SLA FALL/WINTER 2018

Which iconic symbol of the Cold War came down November 10, 1989? What was the original name for what we now know as candy corn? Fill in the blanks: November is National N______ W______ Month In what month do Canadians celebrate Thanksgiving? In what 1966 holiday movie do children stay up all night in a pumpkin patch to try to prove the existence of an imaginary character? What U.S. state is the warmest in the autumn? What team won three Super Bowls in the 1990s? 1. The Berlin Wall 2. Chicken Feed 3. National Novel Writing Month 3. October 5. It’s the Great Pumpkin, Charlie Brown 6. Florida 7. The Cowboys


RIDDLE 1: I’m tall when I’m young, I’m short when I’m old, and every Halloween I stand up inside Jack O Lanterns. What am I?

Autumn Trivia


Riddle me this

Personalized accessories Give the outdoorsman in your life something to remember you by. Visit PersonalizationMall.com to order gifts with messages of gratitude for your dad, brother, uncle or grandpa.

Design your own playing cards Custom playing cards make a great gift for card-playing friends and family or as fun giveaways and favors at parties! PersonalizationMall.com


Family Holiday Gifting

Family Holiday Gifting

Gifts for the Grandkids

Gifts for Her

Fitbit Versa™ Watch Live your best life with Fitbit Versa—a health & fitness smartwatch that lasts 4+ days and features 24/7 heart rate, phone-free music, apps, coaching & more. www.fitbit.com

Hammond’s Candies Satisfy their sweet tooth with handmade lollipops, chocolate bars, taffy & more. Handmade in Denver, Colorado Since 1920. Order online www.hammondscandies.com


Unique iPhone Cases Update their style and choose a one-of-a-kind iPhone case for your grandkids. www.uscellular.com PHOTOS PROVIDED BY HAMMOND CANDIES, USCELLULAR.COM AND PIZZA HUT

Marbled Monogram Cheese Board Make your gift special by personalizing it. A gift of cheese always looks beautiful on a sheek monogram cutting board. www.anthropologie.com


Adventure gifts of travel Thrill the adventurer in your life by ordering a Scratch Map from UncommonGoods.com. This special map of the world can be scratched away with a coin to reveal the countries that she has visited, displaying past adventures in an eye-catching way

Pizza of the Month Club AmazingClubs.com offers this awesome mail-order treat subscription! Your grandkids will love this monthly shipment of delicious deep dish Chicago-style pizzas. www.pizzaranch.com


10 Essential Gardening Tips for Fall

Family Holiday Gifting Gifts for the Pets

Antigua Dog Collar Dazzle your dog this season with a new collar and leash set. shopdogboutique.com

4. Bring on the bulbs. Spring-blooming bulbs, cool-season vegetables, perennials, trees, and shrubs can all be effectively planted in the fall. 5. Water. Give all of your plants a good dose of water, especially your trees. Their roots need plenty of moisture to make it through the upcoming months.

Nuts Squirrel Nuts Squirrel may hoard his acorns, but he’s always ready to share the fun. His fluffy tail is tempting for chasing, but his sturdy body is great for tugging. shopdogboutique.com

Tico Sloth When it comes to play, there’s no rushing Tico- he’s a laid back guy on his own timeline. Once he’s ready to go, he sees the fun in every situation. Your pup will love tugging and tossing his long arms. Afterwards, Tico is always game for a post-play snooze. shopdogboutique.com

6. Divide and Cut Back Perennials. 7. Protect the perennials. Prepare for frost! The first frost occurs around Oct. 15

9. Include a compost pile. Yes, your egg shells, leaves, and coffee, grass clippings are great for composting.

1. Keep the leaves. Leaves provide essential nutrients for the soil, it is mulch. PHOTOS BY SHUTTERSTOCK


8. Fall is the best time to repair your lawn. Seeding the bare spots during the fall will allow enough time for germination before the cold temperatures arrive.

Highwave AutoDogMug Portable Dog Water Bottle & Bowl, 20-oz bottle Whether it’s an all-day hike, an afternoon at the beach, or just a trip to the park, this is the perfect accessory for your canine companion. www.chewy.com 14 SLA FALL/WINTER 2018

3. Bring the herbs inside

2. Transplant fruit plants. Planting tree’s during this time will allow them to become established in the ground before freezing. Don’t forget to water the trees every 10 days before the ground freezes.

10. Clean up the garden. Remove dead plants, then spread a two to three-inch layer of compost, or organic matter over the garden, then dig in with a spade. You will be ready for planting the garden in the spring. 15

As a Midwestern architectural firm with Midwestern values, they believe that the design of our built environment directly affects how we live, work and play – through wellness, recreation and community service.

CMBA’s design philosophy is a true reflection of their firm and mission:

“It’s not what we do, it’s who we do it for.”


Q. How many children do you have, what is your wife’s name? How have they encouraged your journey in architecture? A. My wife’s name is Lori and we’ve been married for 21 years. We have two daughters Elizabeth, 19 and Sarah, 17. Lori keeps her eyes open for news articles or ideas that are pertinent for our firm. My family is always proud of my projects and puts up with my long hours at the office

Q. How do you keep your employees motivated? A. A structured mentoring program, monthly education sessions and empowering staff to be involved in decisions motivate them to be integral team members. Q. What is the biggest risk you have ever taken? A. Probably leaving my previous firm and joining CMBA 21 years ago. Although, I didn’t see it as too much of a risk because of the excellent reputation the firm already had at the time. Q. What are your current goals? A. My biggest goal right now is to keep CMBA on the cutting edge of Senior Living design. I truly want to make a difference in the quality of life for seniors. Q. What do you value most? A. I value time with my family the most. At work, I value being honest and straightforward with my clients and staff and appreciate when they are the same in return.

Sunnybrook Medical Plaza, Sioux City, Iowa

Q. Are you a native of Sioux City? A. I’m not a native of Sioux City but have lived here now for 25 years. I’m originally from a small northwest Iowa town called Ocheyedan. PHOTOS PROVIDED BY CMBA

With Terry Glade

Q. What was your favorite design project? A. One of my favorite and most challenging projects was the surgery and medical office building addition to the Dunes Surgical Hospital in Dakota Dunes, SD. It was a $12 million project that had to be designed and built in only 12 months. We had a great team involving our staff, the Owner, engineers and contractors that created a high quality, exciting project.


Designing for Life

CMBA understands the times are changing – seniors want to go to the farmers market, shop at the grocery store, ride bikes on the trails, work out in the gym, swim, socialize in the coffee shop, volunteer at the school, see a show or go out to eat. Senior “living” is truly about the communities they are a part of. As a community-focused firm, CMBA concentrates on the projects and opportunities that will move communities forward. They strive to incorporate these qualities in each senior living environment they create, and by keeping our retiring population in mind with the spaces they design.

Q. When did you know your career path would be in architecture? A. I spent a lot of time in my uncle’s woodworking shop as a child and was always building something. I designed and built a model of an energy efficient house for a HUD Housing student competition in middle school. That along with doing well in math, science and art classes cemented my choice during high school.

Q. What are you most proud of? A. The relationships that I build with each client that keeps them coming back with repeat business.

Q. Who are your role models and mentors? A. I would say my Dad for his work ethic and my uncle for his attention to detail are my role models. My mentors would be the four partners that were running the firm 21 years ago when I joined them.

Q. How did you become interested in designing senior living projects? A. My grandmother lived with dementia for almost 20 years. Those are really the only memories I have of her along with the depressing design of the living facilities available for her at the time. This has driven me to do what I can to improve the quality of life for all seniors.


Betty Strong Encounter Center, Sioux City, Iowa


Who doesn’t want to enjoy and explore? Or have a place to visit and learn with your children or grandchildren? CMBA has completed many projects over the years that have bettered our communities, but some have that recreational, leisure purpose that’s just FUN! Here are just a few of CMBA’s designs that you might enjoy with your family: Launchpad Children’s Museum, Betty Strong Encounter Center, Lewis & Clark Interpretive Center and Dorothy Pecaut Nature Center.


LaunchPAD Children’s Museum, Sioux City, Iowa

Community Service

Wellmark YMCA, Des Moines, Iowa

Active lifestyles, centered around fitness, are important for every age – but the accessibility of these types of facilities for seniors is extremely important. One of CMBA’s recent wellness projects was for the YMCA of Greater Des Moines. CMBA renovated a vacant convention center to be the new downtown fitness hub. The project includes: eight handball courts, two basketball courts, an exercise room, a spinning room, many sports machines, and a natatorium addition.


Service is one of CMBA’s core values. They pride themselves on being involved in their communities. CMBA has been a long-time supporter of various non-profit organizations. “Coming together to help improve our communities is important to our culture and to our employees,” said Terry Glade, Principal Architect. “CMBA succeeds with our communities and we are committed to helping our communities succeed. We have always been a strong community partner, and we will continue to be – it’s who we are!” Sunnybrook Medical Plaza, Sioux City, Iowa


Two areas of wellness that have proven beneficial to seniors are ambulatory care and fitness. CMBA recently completed an ambulatory care center for UnityPoint Health-St. Luke’s in Sioux City, Iowa. An ambulatory care center is a medical facility that provides outpatient services, including: diagnosis, treatment, rehabilitation and primary care – eliminating the need for hospital visits for many seniors. CMBA’s vision for the Sunnybrook Medical Plaza was to create a healing environment that was easily accessible and convenient to the community.

CMBA has regional offices in Sioux City, Des Moines, and Spencer, Iowa; as well as Grand Island, Nebraska. They maintain a staff of 50+ employees, and are recognized as a regional leader in the healthcare and education sectors. Visit their website to learn more about CMBA: www.cmbaarchitects.com. 19

Consider these four tips before applying for Social Security.

Thrivent is a not-for-profit financial services organization that helps Christians on the wise with money journey.


Don’t assume it won’t be there. Planning early for the role Social Security will play in your retirement will prevent you from being caught off guard and missing out on increased benefits once you are ready to start collecting.


Know your situation. Retirement income planning is critical. Social Security has nuances so a personalized approach is necessary to get a better view of your finances.

As a mission-driven, membership-owned organization, it offers its more than 2 million members and customers a broad range of financial products, services and guidance to help them obtain a life of contentment, confidence and generosity.


Wait to draw. Now that you are planning for it, you can figure out when you want to start receiving benefits. Factors to consider as to when to file for benefits include: health status, life expectancy, need for income, future employment and survivor needs.

With Darrel Uthof

Money taken out of your paycheck every month may be unwelcome now but it can give you monthly income later in life. Some question if Social Security will last long enough for those currently in the workforce to receive benefits. Full benefits are available at age 65 for those born before 1928, gradually increasing to age 67 for those born in 1960 or later.



Get your financial house in order. If you delay your Social Security benefits, you will need to have another way to pay for your needs while you are not working. Talking to a financial representative can help you clarify the role Social Security can play in your retirement strategy. Once you have a strategy in place, you will better be able to enjoy your retirement years without worrying about the next paycheck.


Maximizing Social Security

Thrivent and its subsidiary and affiliate companies offer insurance, investments, banking and advice over the phone, online as well as through financial representatives and independent agents nationwide. Thrivent is a FORTUNE 500 company with $136 billion in assets under management/ advisement (as of 12/31/17). For more than a century it has helped Christians make wise money choices that reflect their values while providing them opportunities to demonstrate their generosity where they live, work and worship. For more information, visit Thrivent.com. You can also find us on Facebook and Twitter. Insurance products issued or offered by Thrivent Financial, the marketing

name for Thrivent Financial for Lutherans, Appleton, WI. Not all products are available in all states. Securities and investment advisory services are offered through Thrivent Investment Management Inc., 625 Fourth Ave. S., Minneapolis, MN 55415, a FINRA and SIPC member and a wholly owned subsidiary of Thrivent. Thrivent Financial representatives are registered representatives of Thrivent Investment Management Inc. They are also licensed insurance agents/producers of Thrivent. For additional important information, visit Thrivent.com/ disclosures. If requested, a Thrivent Financial representative may contact you and financial solutions, including insurance, may be solicited.

Thrivent Financial for Lutherans and its respective associates and employees have general knowledge of the Social Security tenets; however, they do not have the professional expertise for a complete discussion of the details of your specific situation. This report provides only broad, general guidelines, which may be helpful in shaping your thinking about and discussing your situation. For additional information, contact your local Social Security Administration office. 2098230-042318

Darrel Uthof CLU, LUTCF, FIC Financial Consultant – Thrivent Financial 3900 Dakota Ave. Suite 10 South Sioux City, NE 68787 https://connect.thrivent.com/darrel-uthof/ E: (Darrel.uthof@thrivent.com) Ph: 402-494-6964 21

her - their three grown children with their spouses, their seven grandchildren with their spouses, and now great grandchildren. Her family brings her much happiness, and down through they years they have been an encouragement in her writing.

Alzheimer’s and the Holidays

By Barbara Ivey, Author and Alzheimer’s Kid The sound of a crackling fire. The smell of a roasting turkey. The twinkle of lights on the tree. These lovely holiday sights and sounds are familiar to many of us. Of course, each family has its own holiday traditions. Thinking back, my family holidays were cozy, consisting of our family of four and my grandparents. The first “big family” Thanksgiving I experienced was in college. I can still picture that living room: a crowded jumble of people with a parade of new arrivals marching in the front door, straight for the food. For our loved ones with Alzheimer’s, every day is a disconcerting jumble, just like that “big family” Thanksgiving was for me. Sights and sounds that were once familiar lose their meaning. The thread of conversation is lost. Most of us look forward to holidays because they are special days. For loved ones with Alzheimer’s, special days are confusing and frightening. As Alzheimer’s progresses, the challenge of holiday traditions and travel takes a greater and greater toll on both the loved one and their caregiver.

“Country Style” July 6, 1967

Stensland Books - Books, Notecards and Bookmark With Author Doris Stensland

describing southeastern South Dakota’s history through a variety of sources, including three historical novels.

Doris Stensland was born and had lived most of her entire life in Lincoln County, in southeastern South Dakota, the locale for most of her writings. In April 2012 she received the 2012 Individual Governor’s Award for History from the South Dakota State Historical Society. This Individual Award recognized her for her work in 22 SLA FALL/WINTER 2018

After living on a farm for 66 years, she and her husband, Hans, recently moved to an independent living facility in Sioux Falls, SD. Doris has had a deep interest in family history and pioneer life, and is proud of her Norwegian ancestors. She tries to keep in contact with relatives in Norway. In the past, even Doris’ hobbies are Norwegian such as working hardanger embroidery, and baking Norwegian foods. Blended into her life is her faith. She enjoys the riches of God’s Word and had led an interdenominational Ladies Bible Study for over fifteen years. Doris feels greatly blessed by the family God has given her husband and

“As the farmer works in his fields these days he has learned to stay out of the low spots. More than one tractor has become embedded in the mud. When it is loaded down with a cultivator it becomes almost an impossible job to get out of the mire. The more he works, the deeper it sinks… and his field gets all dug up. Sometimes as a last resort he has to call out a tow truck or a caterpillar.”

As you prepare for the holidays this year, ask yourself:

“Everywhere we turn is beauty. On a drive along the countryside we can just feast on the eye-pleasing scenes.”

•Is it time to try something new?

•How can I make the holidays enjoyable for my loved one with Alzheimer’s? •How can I make the holidays enjoyable for the caregiver of my loved one with Alzheimer’s? •Can both happen at the same time? How? •What behaviors can we expect from our loved one with Alzheimer’s this year?

Be ye therefore merciful, as your Father also is merciful. – Luke 6:36


“2” Social Security provides COLAs

Personal Finance


Recently I had the opportunity to host several workshops featuring Jon Smith, Vice President, from Stifel’s Wealth Planning Department. Jon is very knowledgeable on Social Security and an important resource for my clients. Social Security’s original intent was to pay retirement income to primary workers and was later updated to provide survivor and disability benefits. Social Security has paid regular monthly benefits for over 75 years. For many Americans, it is an important part of their retirement income. Two numbers, 62 and 65, come up in most discussions about the program. Age 62 is when workers can begin to take income from the program. Age 65 is often the age workers ear mark as their normal retirement age. I believe there are additional numbers of importance for you to know.

“9” There is a nine-year age span when most workers may elect to start drawing retirement income

from this program. Age 62 is the youngest, and age 70 is the oldest. You can elect to claim later than age 70, but you receive no additional benefit in delaying past 70.

“66’’ The Social Security Administration considers age 66 the full retirement age for those with birth

years between 1943 and 1954. Each birth year after 1954 adds 2 months to the full retirement age up to the birth year of 1960. Anyone born in 1960 or later has a full retirement age of 67.

(Cost of Living Adjustments). These are increases added to your benefit annually, to the extent there is inflation, to help your income keep pace with inflation. Due to low inflation, the COLA for 2018 is 2%.

“1” If you are under your full retirement

age, andyou are taking Social Security benefits and earning $17,040 or more a year, your Social Security benefits are reduced by $1 of every $2 of earned income above this threshold. The year you reach your full retirement age, you will lose $1 of Social Security for every $3 of earned income above a higher threshold of $45,360. There is no reduction in benefits beyond your full retirement age regardless of how much you earn.

“85” Up to 85% of your Social Security benefits may be taxable for individuals filing single with provisional income of $34,000 or for those filing jointly with provisional income of $44,000. If you have questions on the tax implications, seek advice from your tax advisor. If you want to learn some of the basics on Social Security or to pull up your estimated benefits, go to www.ssa.gov. Given the complexity of Social Security, you should know your options and call Korey Kletschke for a complimentary appointment.

“8” Each year past full retirement age that a worker delays the start of Social Security payments, their

benefits will increase by 8% up to age 70. Why is this important? If you don’t need the money, don’t turn it on so you will have a bigger benefit for the rest of your life.

Let us help you manage your wealth so you can do the things you most enjoy! Wealth Management Financial Planning | Investments

Kletschke Wealth Management Group

Korey C. Kletschke, ChFC® | Financial Advisor kletschkeko@stifel.com

Kim Cleaver Kletschke | Vice President/Investments

“1,404” The average 2018 monthly Social Security benefit for retired workers is $1,404, according to the Social Security Administration.

What would you rather be doing?

* Source: Gresham, Stephen D., “Advisor for Life: Become the Indispensable Financial Advisor to Affluent Families”

Stifel, Nicolaus & Company, Incorporated Member SIPC & NYSE | www.stifel.com


(712) 252-6920

700 4th Street, Suite 100 Sioux City, Iowa 51101

“50” For a couple who reaches age 65, there is a 50% chance one will live to age 92.* The decisions you make about Social Security may have long-term consequences.



Here at Christy-Smith Funeral Home, we help people just like you make choices that protect their hard-earned financial assets. In your time of need, we want your loved ones to remember your life in happiness and peace, rather than making painful decisions in a time that is already difficult. Honoring a life is about bringing those you love together. A funeral, celebration of life service, or memorial service is perfect to aid the healing and transition process after the loss of a loved one. Our funeral directors and Licensed

Pre-Need Counselors will help you share your story in a unique and appropriate way. We believe in celebrating the life of the individual by recognizing how they touched the lives of others. Christy-Smith Funeral Homes tailors your needs

with a budget that works for you. Call Kelly Eckhoff at 712 276 7319 Licensed Pre- need sales for Christy Smith Funeral Homes for all of your planning needs.

Christy-Smith Funeral Home Meeting End-of-Life Needs

Sound decisions are based on good information. This especially is true when planning your funeral, funeral of a loved one or the funeral of a friend. More and more people are pre-arranging their funerals to help ease the emotional and financial burden on their families. 26 SLA FALL/WINTER 2018

Sophie, future therapy dog


Hwy. 15 Salvage Wayne, Nebraska

Sign up for classes Framed Patch Work Craft: Nov. 4th & Nov. 11th 1:00pm

Make some home-made gifts

Veterans Day

Monday, November 12

for your friends and family. Keepsake memories will last forever.

Cookies for Veterans “The Gift for Yanks Tour”

Then, the fun begins! During these four days, dozens of cookies made by the auxiliaries are collected at each stop. The cookies are made for “The Yanks Who Gave” Christmas party on the first Saturday of December. On the 2017 tour, over 806 dozen cookies were made—meaning that approximately 9,678 delicious sweets were delivered to 100 deserving Veterans at


the Hot Springs, SD Veterans’ Hospital! A country-western band from Chadron played guitar for a good old-fashioned Christmas sing along. Every veteran was thanked and received a homemade gift bag filled with toiletries, writing materials, reading materials, word search puzzles, and microwave popcorn proudly provided by the 13 Units of District I.

In times of need, healing, and care, the auxiliary also helps with obtaining gently used clothing, bedding, and kitchen items for veterans’ apartments. The Department Officers also journey to the Scottsbluff Veterans’ Home in Cheyenne, WY, to spread Christmas cheer to all.

Call Teresa and sign up today for group classes, parties, sign on wood classes, designing porch signs, and your special events.


The American Legion and Auxiliary of District I work together to bring joy to Veterans. The tradition begins on the last Thursday of the month of November. The Department and District I Officers meet at Brown County Post and Unit #79 for a 7:00am breakfast, followed by meetings to start the busy four-day tour. Each Post Unit will be visited from Newport, NE to Crawford, NE. Food and fellowship are enjoyed at each stop, and friendships are made. Memberships are collected if dues haven’t already been paid.

311 Main St. Wayne, NE 68787 402-369-2653 Facebook


Thanksgiving In Everything With Pastor Todd

The Thanksgiving holiday is considered to be an American holiday. Tracing its roots back to the days of the early settlers, we discover a rather grisly context for that first official observance of Thanksgiving. It was the winter of 1620-1621. Only 44 out of the 102 settlers survived. At one time only 7 were healthy enough to bury their deceased loved ones in frosty graves. Despite the adversity, those pilgrims persevered. The following Fall, that of 1621, God blessed them with an abundant harvest. Their crops produced bountifully. It was out of this abundant bounty that the first Thanksgiving Day was born. The pilgrims praised God for His faithfulness to His promise of provision. Scripture passages such as Phil. 4:19, “And my God share supply all your need according to His riches in glory by Christ Jesus’, and 1 Thes. 5:18, “In everything give thanks for this is the will of God in Christ Jesus for you”, became sustaining sources of encouragement for the God-fearing settlers. Their faith in God and praise to God were not conditional. Their circumstances did not dictate their dependence upon or their devotion to God. In Phil 4:11-12, the Apostle Paul speaks quite candidly when he states, “I have learned in whatever state I am to be content: I know how to be abased, and I know how to abound. Everywhere and in all things I have learned both to be full and to be hungry, both to abound and to suffer need.” With these words, the Bible is encouraging us to be consistent in our response to either prosperity or poverty – to be content. Contentment is to gratefulness what humility is to honor. There is an attractive graciousness to gratefulness. Contentment says, “I have enough – more than enough.” “I don’t need more.” Being thankful for what one has been provided is the only appropriate response to the One who alone provides – God Almighty.



Psalm 100 has been dubbed a Psalm of Thanksgiving. Hear the fourth verse of this Psalm; “Enter into His gates with thanksgiving and into His courts with praise. Be thankful to Him, and bless His name.” The giving of thanks to God – now that’s a good and godly Thanksgiving.


I never gave hunting much of a thought until I met my husband, Cody. He said, “You will either love it or hate it.” It wasn’t until I was 7 months pregnant with our son that I decided I wanted to give it a try. When I told him that I wanted to go deer hunting with him that fall, his response was, “How do you think you are going to climb up and down the tree stand with that big belly of yours?” I replied, “Well, you do it!” We got a pretty good laugh out of that.

where we hunted, when we hunted, and with whom we hunted. I even started taking off a full week from work so that I could savor every last moment of rifle season. It had become a year-long event that took planning and strategy. I no longer just showed up and went out hunting. Instead, I would go out in March and April and go shed hunting to see what size deer were in the area. This involved my husband, my two kids, and my mom. My husband would spot a shed, and before alerting us to it, would say, “You smell that? I think there is a shed nearby.” My kids would totally fall for it, thinking he could actually sniff out the sheds. About twice a month, up until mid-November, we would check the cameras and move them around to survey all 440 acres of the land.

In my first two years of hunting, I sat in a primitive tree stand on my in-laws’ land with my husband. I think I froze about every part of my body. However, the moment I saw my first buck walk into view, I instantly forgot the cold. Adrenaline raced through my veins. I steadied myself as best as I could, aimed, and fired. My husband shouted, “You got, babes! You got it!” It was exhilarating! I fully understood then why my husband said that I would know right away whether I would love it or hate it. I loved it.

I wouldn’t trade it for anything in the world. It is the most precious bond that I have with my mother. The fact that I get to spend time with her and my husband doing something that I love is pretty special in my book. 32 SLA FALL/WINTER 2018

By the fourth and fifth years, my husband and I had started hunting on property that my family owned up in the Devil’s Nest. For our first two years there, it was back to basics. I was back to sitting in a tree stand, or we just hunted out of our truck. But in my sixth year, we became very serious about

Kaci Anderson and her mom


With Kaci Anderson


Nature’s Bond

In my third year of hunting we upgraded to enclosed blinds, and boy, did I feel like I was staying at the Hilton! It didn’t matter who I was with or if I was alone: each time I shot a deer, it was like I had won some major award. I was just happy to be out in nature and spending time with my family.

It was in my fifth year of hunting that my mom started coming along to sit in the deer blind with me for moral support. My mom was there with me when I fielddressed my first deer. She was also with me when I had to field-dress a deer that I couldn’t find until the next day after I shot it. Boy, was it

stinky! We both had handkerchiefs over our faces, trying not to gag. Mom was a trooper, though, and never once complained.

husband and I were very fortunate this past year. We each shot our limit of 2 deer a piece. Let’s just say our freezer is full for the next year!

This year, November 2017, was my ninth season of deer hunting. My mom was with me when I shot a nice 5x4 chocolate rack. We had seen this particular buck on a game camera, and my husband told me, “Don’t shoot this one. I want to see what he will look like in another year.” I promised I wouldn’t. That morning, my mom and I saw a buck walking just near the tree line. I told my mom I was going to shoot. Mind you, it looked nothing like the deer my husband had eyes on for next year. As soon as I walked up to it after shooting it, I realized that I had killed the deer I was specifically asked not to shoot! I felt horrible! But my mom, God love her, said, “Well, if Cody wanted that deer so bad, he should have shot it.” After explaining it all to my husband, he actually agreed with my mom. Both my

In recent years, I have been fortunate enough to take the entire season of deer hunting off and spend time with my mom up in our cabin. It is so quiet and peaceful in the Devil’s Nest. I am truly happiest when I am up there, and my mom shares this passion with me.


Daylight savings time is an opportunity to maintain your body’s natural rhythm. Turn the clock back! If you usually wake up with an alarm, you can still set it for your normal time. Avoid drinking excessive caffeine before bedtime. It will only keep you awake. DID YOU KNOW? Daylight Savings Time was first proposed by a New Zealand bug collector who hoped that moving the clocks back would give him more bug-catching time during the day. Enjoy a few extra moments of exercise and sunshine before the time change. It will give an extra boost to your routine.

One of My Favorite Things

Take time to wind down before bed by putting away the technology, going into your quiet area, and reflecting.

Time change: November 4, 2018

DID YOU KNOW? Hawaii and Arizona do not recognize Daylight Saving Time.

Small changes that make a difference


Something that I’ve learned over the years is that there’s nothing like a campfire during the cool autumn evenings. Here’s how to make your campfire as enjoyable as possible.


You will need a supply of dry wood. This factor has the greatest impact on the quality of your campfire.


Fall Back

Check the time and reset the clocks, watches, and timers in every room of your home.

With Scott Stanton

Some people try to create a campfire with seasoned wood, less than two years old. I believe firewood is seasoned best over two seasons of winter and under low humidity.


Remove the ash from your fire pit. Too much ash will restrict the movement of air that flows under the fire.


Small sticks or kindling will need to dry. Also have available several layers of newspaper. Roll the newspaper into a stick and tie it in a knot to use as fuel. (The knot is to keep the paper from unrolling.)


Place the newspaper in the fire ring with the kindling sticks forming a teepee. Use matches or a lighter to start a fire.


After the fire is going, continue to stick additional logs across the stack.

6. Fire likes to climb. Keep the

teepee tall by crisscrossing the logs. The logs should be stacked so they won’t roll outside the fire ring.


Sit back and enjoy the warmth! 35

The Christmas season is almost here, it’s important to spend time together pause and prepare for the season. I can only imagine that special night when Jesus came to earth . “When they saw the star, they were overjoyed”. Mathew 2:10 When your door opens to family an aroma of fresh winter berry may greet your guests. The green wreath symbolizes the unending circle of life, and love that God has for us. The holly berries reflect the blood that Jesus shed for our sins. Rejoice! The good news of Christmas is here! Express your gratitude during this special time of year by giving back to each other. “It is more blessed to give than to receive”. Act. 20:35. Give joyously, and unexpectantly that is when Christmas miracles happen. You won’t be disappointed, it is that simple, all we must do is give more joy to others. “For to us a child is born, to us a son is given, and the government will be on his shoulders. And he will be called Wonderful Counselor, Mighty God, Everlasting Father, Prince of Peace”. Isaiah 9:6 Jesus said, “give and it will be given to you; good measure, pressed down, shaken together, running over, they will pour into your lap. For by your standard measure it will be measured to you in return” Luke 6:38 From our family to yours, wishing you good news and great joy!

Throughout The Year By Judith Stanton


Judith & Jessica



Merry Christmas


1. Knit a blanket skirt for your Christmas tree. 2. Set the table in neutral, organic and pastel colors. 3. Fill galvanized buckets from Michael’s or Walmart with pine cones and warm lights. www.walmart.com www.michaels.com 4. Oversized ornaments add texture, beauty and glamour. 5. White is simple, crisp and cool. 6. Welcome your family and friends with oversized letters, words and colors.



Holiday Decorating Trends Make your home more feel special. Decorating for the holidays is made easier by using simple idea’s.

7. Shop at Target www.target.com or Hobby Lobby hobbylobby.com for whimsical mittens, stars, snowflakes, and pineapples to place in groupings throughout the house.



Always keep cookies or recipe dough stored in airtight container for freshness.

2. Frozen pre-baked cookies should be thawed a few hours ahead of time on a flat surface.


Recipe dough should be fully chilled in refrigerator before it can be cut out in shapes.


Once you’ve cut out the shapes, place them on a baking sheet in the refrigerator to help them keep their shape.

Piece of Cake

offers sugar cookie decorating classes in December, to keep it simple. Families and small groups can schedule private cookie classes. Everything is provided, including sugar cookies, boxes, tools, glitter, frosting and sparkles to create the perfect baker’s dozen. Baking with grandma is always fun, but if you are running out of time, we have sugar cookies, baked cookies & frosting for on the go customers.

5. Embrace butter cream – it’s

easy to use and can be purchased from your local baker.


7 Cookie Decorating Tips

Work quickly when decorating. You want firm icing for your boarder. Add sprinkles while the icing is still wet.

Piece of Cake 25 Central Ave. SW, Lemars, IA 51031 phone 712-541-6046 Facebook : http://facebook.com/pieceofcakeiowa

With so many parties, and events to attend you will want to bring something special for your guests. Michelle Bomgaars Owner of “Piece of Cake” located in Lemars, Iowa will save you time, and money. Michelle started baking when she was very young and learned the tricks of the trade by spending hours in the kitchen with her mom and grandma. She uses color, whimsical, textures, and design to create beautiful edible pieces for all occasions including company parties, birthdays, anniversaries, weddings, graduations, and more.

Decorate your cookies like an expert, keep it sweet and simple. With the holidays in full swing you will want to make some special memories. 40 SLA FALL/WINTER 2018


Be careful of transporting cookies. Some shapes crumble, for example “snowmen, will ship better than snowflakes”. Airtight containers, layers of parchment paper between cookies, and use pre-packaged boxes.


With Michelle Bomgaars

Christmas Cookie Decorating Schedule December 11, 2018 6:00pm December 13, 2018 6:00pm December 15, 2018 1:00pm December 18, 2018 6:00pm December 20, 2018 6:00pm


Favorite Holiday Recipes 1 Shoulder Blade Ham Ingredients for Glaze 1 c. brown sugar 2 T. Dijon Mustard 1 tsp. black pepper 2 T. Apple juice ½ c. honey ½ c. of whole Cloves



Directions: Soak the ham in a roasting pan in water over night to reduce the sodium. Trim the skin off the ham, then score the ham to keep it moist and juicy while basting. Place the cut side down, on top of a rack in the roasting pan. Add whole cloves to each diamond. Preheat the oven to 350 degrees. Tent the ham with tinfoil. Cook Ham – 10 min. per pound to heat all the way through. Baste with apple juice throughout the cooking process and bake for 1 ½ hours. Let the ham rest 30 minutes before serving.


Favorite Holiday Recipes Golden Pound Cake Ingredients 1 ¼ cup unsalted butter 2 cups granulated sugar 5 large eggs 2 ½ cups cake flour ½ teaspoon salt 1 ¼ teaspoons baking powder 2/3 cups whole milk 1 teaspoon pure vanilla 1 teaspoon lemon extract Powdered sugar Whole raspberries Directions:


Caramel Pumpkin Cheesecake Ingredients ½ cup chopped toasted pecans, divided 38 Gingersnap cookies finely crushed (about 1 ½ cups) ¼ cup unsalted butter, melted 4 pkgs. (8 oz. each) cream cheese, softened to room temperature 1 cup granulated sugar 1 can pumpkin 1 Tbsp. pumpkin pie spice 1 tsp. pure vanilla 4 large eggs 25 caramel candies ¼ cup of milk Directions: Heat Oven to 325 degree F Chop ¼ c toasted pecans finely and placed in medium bowl. Add ginger snap crumbs, mix well. Press onto the bottom of a 13 x 9-inch baking pan. Beat cream cheese and sugar in large bowl with mixer until blended. Add pumpkin spice and vanilla, mix well. Add eggs, 1 at a time, mixing on low speed after each egg until blended. Pour over crust. PHOTOS BY SHUTTERSTOCK

Preheat the oven to 325 degrees. In a mixing bowl, cream together the butter and sugar. Slowly add one egg at a time and continue to blend, beating well after each egg. Combine the cake flour, salt, and baking powder and add them to the creamed mixture. Beat until smooth. Fold in the raspberries. Pour the batter into a greased and floured bread pan. Bake at 325 degrees for one hour or until the cake tests done with a toothpick. Cool for one hour and remove the cake from the pan. Make a powdered sugar icing with the lemon extract. Mix it to a thin consistency and pour it over the top of cake. Garnish with lemon zest and raspberries.

Bake 45 minutes or until center is almost set. Cool completely, refrigerate 4 hours. Microwave caramels and milk in microwaveable bowl on high 1 ½ min. or until caramels are completely melted, stirring every 30 seconds, spoon over individual servings of cheesecake. 45

The Comforts of Home Include Bread!

Grandma’s Famous Stuffed Pork Tenderloin

Bread tastes amazing! On a cold evening, there’s nothing better than enjoying a hot bowl of soup and freshly baked bread. The wheat and flour in bread is full of folate and calcium, which is essential to form healthy bones, teeth, and red blood cells. Whether breakfast, lunch, or dinner, bread is versatile for any occasion.

Ingredients 3 Carrots (peeled and diced) 4 celery stalks (chopped) 1 yellow onion (diced) ¼ cup golden raisins 1 cup granny apples (diced) 1 clove garlic 2 tablespoons olive oil 1 loaf of Italian bread cubed Salt and pepper to taste 1 12 oz. box chicken stock 4 tablespoons salted butter 1 teaspoon chopped parsley Directions Sauté carrots, celery, onion, raisins, apples, garlic in medium pan with olive oil over medium heat. Add bread, salt and pepper, chicken stock and butter. Combine all ingredients. Bake in a casserole dish at 350 degrees for 45 min. Pork Loin 1 pork tenderloin OR 1 boneless pork loin (about 3 lbs) 2 tablespoons melted butter (for basting)



If you are using a boneless loin, cut it in half lengthwise and pound it down to ½-inch thickness. Pork tenderloins generally come in two pieces, so pound each piece down to ½-inch thickness. Divide the stuffing evenly between the two pork pieces. Roll up from the short side tightly, forming a “jellyroll.” Secure the seam with toothpicks.


Directions Preheat oven to 350 Degrees. Place a rack in a large baking/roasting pan (I use a flat rack).


The original subscription gift box for Grandparents and Seniors. Nowadays, subscription boxes are trendy for everything from makeup to vinyl records. Finally, there is a subscription box curated specifically for seniors! Grandbox’s monthly packages, designed for customers aged 65+, include at least five gifts with themes such as Farmer’s Market Fun, Night at the Drive-In, Road Trip on Route-66, and Mother’s Day Spa. There is a special holiday-themed December box, and January is See the World Month. Additionally, you can personalize each box with five 4”x6” family photos and a note.


GrandBox was created for loved ones who are lonely, live far away, or have moved into retirement communities. For the past four years, they’ve helped thousands of families stay connected with personalized, fun, healthy care packages that bring warmth and comfort to grandparents, parents, aunts, and uncles everywhere.

GrandBox is the perfect holiday, birthday, or anniversary gift. Their team has the experience and knowledge to know what seniors enjoy and appreciate—so no knickknacks, tchotchkes, or dust collecting clutter! They pride themselves on mixing new and interesting products with nostalgic and familiar ones. This unique gift presentation, along with your personalized photos and letters, is guaranteed to put a smile on your loved one’s face and have them talking for days.

GrandBox starts at $33 for a single month, with thrifty discounts for multi-month purchases. Visit https://www.mygrandbox. com/ today to get started!





Ski for Light Ski for Light is an opportunity for the blind and disabled to ski downhill and cross country ski, as well as snow shoeing and snowmobiling. Volunteers and participants meet for the event on the third week of January in Deadwood, SD. Visitors across Nebraska participate by starting their journey in Omaha. A chartered bus picks up volunteers as well as blind and disabled participants. All skill levels are welcome! The town of Deadwood will host many events including karaoke, bonfires, and award ceremonies. The beautiful scenery of Custer State Park welcomes visitors to stay in

wheelchair-accessible private access cabins, showers, and dining rooms. In 1978, Ski for Light International held its annual event at Deer Mountain, South Dakota. Local volunteers and guides decided to organize a regional program. In 1984, a summer camp was added at the Angostura Reservoir, South Dakota. Their mission is to pro-

mote the physical fitness of the blind or visually-impaired and mobility-impaired by sponsoring active, vigorous outdoor activities. Ski for Light is always looking for people to join in the activities by being a volunteer or guides for the blind activities. Participants come from all the United States to make memories and ski together. Share the joy with someone you know by contacting www.bhsfl.org today.


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Or Contact Judith Stanton. EMAIL: sales@seniorlifestyleadvantage.com P: 402-200-9334 / 402-200-9334 52 SLA FALL/WINTER 2018


Jane Stanley received her master’s degree from the University of Nebraska Medical Center and was certified in Postural Restoration Institute from Lincoln, in 2008. She believes that by restoring proper breathing and maximizing proper posture, it can eliminate strain and prevent degeneration. She has worked in Sioux City, Iowa as a physical therapist for over 20 years and has a passion for treating runners, athletes, spine dysfunctions, breathing dysfunctions, and women’s health. According to Jane “The foundation of life is keeping your gluteals and abdominals strong by moving more. If you don’t use it, you lose it”.

Live Healthy, Live Active, Live Life With Jane Stanley

What if your pain could be cured by practicing good posture?


One patient, Joan Coughlin, a 64-year-old teacher for children with special needs, had frequent falls and spine surgeries before realizing she required more supportive care. She started seeing Jane and became more confident about her balance and could enjoy being active again. “Jane taught me that I am stronger than I thought I was, and through balance and ambulation my falls are being prevented. “I could see the difference, and highly recommends Jane to her friends and family”.

Integration Physical Therapy’s motto is “Live Healthy, Live Active, Live Life.” Not only that, but they also happen to be Siouxland’s only Postural Restoration Certified Clinic! Patients from across Iowa have had their lives changed for the better by Jane and her staff :

“The changes that you have made for me functionally in my life are amazing!” says Sarah Colfack. “The chronic pain I have had for three years… has been alleviated. Not only that, I feel a peace and calm from all of the breathing in the exercises that I haven’t experienced before—and you inspired me.” Another patient, David Jahn, was diagnosed with spinal stenosis in 2012. As treatment, he received painful steroid injections that only relieved pain for a few weeks. Then, he learned about Integration Physical Therapy. His exercise program was customized for his situation. “I have not had any steroid injections since December of 2012,” Jahn says. “I do not have to take any pain reliever now. Thank you for taking the pain out of my life!”

Jane Stanley working with patient Joan Coughlin

If you suffer from back pain, balance and gait for fall prevention, scoliosis, hip pain, breathing difficulties, knee pain, and more, contact Integration Physical Therapy today at 402-412-2906. Together with Jane, take your next steps toward a healthier, pain-free life.


Freedom in Motion The compression garments are the most commonly used for their convenience and versatility. Not only that, but the garments are machine washable! You can also choose to air dry them for easier care. Many of the Juzo Soft Compression Stockings, available in various compression levels, come in a variety of fashionable colors and prints which allow their patients to have the compression care they need while sporting their unique style. Each Juzo item is very affordable and ordered to fit. Their customer service department will be happy to measure each individual for the best customized care.


Juzo is a very versatile product. They supply everything from prosthetic shrinks to compression garments for the feet, legs, arms, hands and body, with many styles to choose from.

Exercise is still the best Medicine Michael Piplani, Chief Medical Officer, M.D.

It is never too late in life to be exercising. The most recent research says that if you have been exercising and taking a few weeks off it is bad for us! When you haven’t been exercising for as little as a few weeks your risk of increased blood sugars, insulin resistance and Type 2 diabetes goes way up. The good news is that when people return to their ‘routine levels’ of exercise these bad changes start reversing themselves in a few days. The good news is that at any age the benefits of exercise are possible. The key is to start low and slow and not get injured. No matter what your current physical activity level is there is a program that can be customized so that you can remain safe, slowly increase your capacity for exercise and you can get the many benefits that exercise has to offer. Where to start? Talk with your Primary Care Provider- they can direct you to a physical therapist who can work with you to get you started. No matter what your level of fitness now, one can get started with simple household effects and build a safe program that will lead to exercises many benefits.

Siouxland Community Health Center is a patient-centered medical home offering a full range of medical care. Main: 712-252-2477 Main Fax: 712-252-5920 Dental: 712-202-1006 Pharmacy: 712-255-4204 South Sioux: 402-412-7242


1021 Nebraska Street, Sioux City Mon – Thurs: 8am – 8pm Friday 8am – 5pm *Open 10am first Thursday of each month.

Urgent Care at The Clinic

1021 Nebraska Street, Sioux City Mon – Thurs: 8am – 8pm Friday 8am – 5pm Saturday 10am – 2pm *Open 10am first Thursday of each month.

SSC Clinic and Urgent Care

3410 Futures Drive, South Sioux City Monday and Thursday 8AM – 8PM Tuesday, Wednesday and Friday 8AM – 5PM 57

Pulmonary Hypertension

Five Wishes

By Kimberly Weiner PT, DPT

With Family Health Care of Siouxland

Pulmonary hypertension is a form of high blood pressure that reduces the blood circulation to the lungs. It is caused by the narrowing, blockage, or destruction of smaller blood vessels known as capillaries, resulting in the reduction of blood flow. Due to the pressure this causes in the arteries, the right ventricle of the heart must work harder to pump blood to the lungs, causing the heart to become fatigued. This increases the risk of heart failure. Pulmonary hypertension can be the result of family history or heart and lung disease, but it can also appear for no known reason. Although some forms of pulmonary hypertension can worsen and result in death, others can be treated through symptom reduction and lifestyle modification.

Understanding the individual wishes of a person coping with a chronic illness is an extremely personal journey. There comes a time in life when the decisions about end-of-life care aren’t easy. That is why the “Five Wishes” program was formed. About twelve years ago, Five Wishes’ founder, Jim Towey, worked closely with Mother Teresa and for one year lived in her hospice program in Washington, DC. Through these experiences, Mr. Towey found a way to help patients and their families plan ahead as they cope with a serious illness. “Five Wishes” includes support for your personal, emotional, and spiritual medical wishes. Family Health Care of Siouxland South Sioux Clinic makes this educational material/program available to their patients. “Five Wishes” helps you to communicate with your physician, family & healthcare team about how you want to be treated during a serious illness. This program includes:

• Acknowledgement on how people should treat your condition • The choice to include loved ones by your side

Symptoms of pulmonary hypertension may include dizziness or fainting, chest pain, swelling in the legs and ankles, a bluish tint to the skin and lips, and increased heart rate. Shortness of breath, exertion, and fatigue can make activity more difficult. As the disease progresses, shortness of breath while resting may develop. Pulmonary hypertension is difficult for physicians to diagnose in its early stages because the symptoms resemble other heart and lung problems. Diagnosing this condition includes assessing the symptoms, reviewing a personal and family history, and performing a physical examination. An electrocardiogram (EKG), an echocardiogram, or a chest X-ray may be necessary.

“Five Wishes” was written with The American Bar Association’s Commission on Law and Aging., the nation’s leading experts on end-of-life care.

Your Medicare Supplement options start here. David Woslager

Although pulmonary hypertension is not curable, the symptoms are treatable through medication. Lifestyle modifications such as getting adequate rest, eliminating smoking, avoiding high altitudes, maintaining a healthy weight can improve quality of life, and implementing a safe exercise regimen can also improve quality of life. Consult with your physician or a physical therapist prior to starting an exercise program.

• Faith & spiritual assistance 58 SLA FALL/WINTER 2018


• The kind of medical treatment and interventions, comfortable environments, and surroundings you desire


• The individual you want to make care decisions for you when you are unable to

References: 1. Pulmonary hypertension. Mayo Clinic Website. www.mayoclinic. org/diseases-conditions/pulmonary-hypertension/symptoms-causes/syc-20350697. Accessed July 9, 2018. 2. NIH U.S. National Library of Medicine. Pulmonary hypertension. Medline Plus Website. https://medlineplus.gov/pulmonaryhypertension.html. Accessed July 10, 2018. 3. Keen C, Fowler-Davis S, McLean S, Manson J. Physiotherapy practice in pulmonary hypertension: physiotherapist and patient perspectives. Pulm Circ.2018;8(3): 2045894018783738. doi: 10.1177/2045894018783738.

Northeast Nebraska Insurance Agency 111 West 3rd Street Wayne, NE 68787


Call me today – your local, licensed Blue Cross and Blue Shield of Nebraska agent.

This agent is an independent and authorized producer for Blue Cross and Blue Shield of Nebraska, an independent licensee of the Blue Cross and Blue Shield Association. Not connected with or endorsed by the U.S. government or federal Medicare program. This is a solicitation for insurance. A licensed agent may contact you. 37-079-4 (06-02-17)


Many people know Gary Anderson and his wife Charlotte from seeing their friendly smiles in Laurel. They own a private business called Gary’s Food Town Inc. It was established in 1985 where grocery and catering are their specialty. During Gary’s free time, he loves to golf, attend Husker football games and spend time with his family. Gary said, “We have been very fortunate and blessed to travel, and we truly have been around the world”. He has seen 48 of the 50 States, the only states he hasn’t visited are Mississippi and Alabama. On December 25, 2017 Gary and his three sons Joshua, Justin, Jeremy and grandson Jackson left for Stock Holm, a trip of a lifetime. Gary said, “The boys planned the entire trip”. The smallest details were considered including accessories that helped maintain warmth in 60 degrees below zero. The wool shirts and coats provide warmth but also prevent sweating. Sweating causes hypothermia and coldness which is of concern when being outdoors in harsh temperatures.

The Traveler “A Trip of a Lifetime” with Gary Anderson 60 SLA FALL/WINTER 2018

The first stop was in Stock Holm, and proceeded to Kiruna, which hosts the “Ice hotel”. Each year the hotel is rebuilt in the village of Jukkasjarvi. When the cold returns and the river slows down, huge blocks of ice are taken out of the river which weigh around two tons per piece. They are harvested and stacked to create the ice hotel. It

is the world’s first ice hotel, located 200 km north of the Arctic Circle. It has luxury suites, private bathrooms, ice gallery, sculptures, and ice bar. Gary and his family stayed two nights and three days. Warm socks, thermal jackets, thermal underwear all help to keep good ventilation for exceptional sleeping.

The adventure continued there is plenty of activities to do. Skiing, Each bed was accessorized with dogsledding, snowmobiling, ice deer hides, pillows, mattress, and were laid over the top of wood and fishing and more becomes the way framed around a block of ice. There of life for many through the arctic is a hot tub and sauna available for experience. Gary said, “Running a dog sled team was exciting”! guests each night. The Ice Hotel The boys mushed their own dogs, contains cold rooms and warm while Gary had help from a perrooms as sleeping quarters. When sonal guide. He was in subzero the temperature outside is 60 to temperatures for over one hour. 70 degrees below zero, you can decide which room will warm you up the fastest. The coldest months between November and February have extreme winter temperatures, and perfect for the arctic experience. They also observed the Aurora in Bisk; the Northern Lights are most often seen in the regions of Sweden and Norway. It’s spectacular!

“Something you can only imagine until you see it in person” said Gary. They stayed two nights appreciating their love and time with one another.

receptive to have an American cousin. If you are considering planning a trip to Sweden plan as much as you can by doing some research about the location, and culture. Experience life! Chase a dream together.

During the trip Gary and his family were excited to see Gary’s cousin in Stock Holm. Peter Hahne is a first cousin. Both families have previously met and are now very 61


What is Medicare Supplement Insurance?


Medicare Supplement Insurance is also called Medigap, are private plans sold by insurance companies to work alongside your Original Medicare coverage (Part A and Part B) to help cover outof-pocket health insurance costs.

Q. Is There a Deadline for Changing my Medicare Supplement? A. Once you are enrolled in a Medicare supplement plan, you can change that plan any time of year. Howev-

er, most people only change when there is a reason to do so, which is usually a rate increase. Nearly all Medicare supplements will have a rate increase each year on your policy anniversary. Keep in mind, that plans are standardized, which means Plan G benefits are the same no matter which company you are with. All plans will pay a claim the same exact way. Here at Insurance 365 we shop our client’s policies every year to see if there is any chance to lower premiums by changing companies. As long as you can pass the medical underwriting, you can change anytime you would like.

Q. Are Medicare

Supplement plans worth it?


This free gift is brought to you by

Absolutely. Since there are many options for covering the “gaps” that Medicare don’t pay, there is no need to run around without supplemental coverage. If you find yourself asking whether you really need a supplement, ask yourself if you can afford to pay 20% of six weeks of cancer chemo or 20% of a $50,000 hip replacement.

Q. Why would I switch Medicare Supplement plan? My supplement pays



Benefits for each type of Medicare Supplement plan are standardized. In other words, no matter what company you purchase your plan for, the coverage is exactly the same. Plan G is Plan G, so no matter which company they will pay the exact same way. You may want to consider changing your Medicare Supplement plan to lower your monthly cost. When you’re deciding on This a Medicare Supplement free gift isInsurance plan, work with a licensed agent who can help you find the right Medigap plan for your health care needs.

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Q. Do plans cover

prescription drugs?

A. Medicare Supplement



SavingTips people money on Medicare Helpful and advice from your Supplements everyday. medicare supplement experts

plans do not cover prescription drugs. Prescription drugs are covered under Medicare Part D but are not covered by Medicare Supplement Insurance plans. You can buy a standalone Prescription Drug Plan to help pay for your medications.

Saving people money on Medicare

With over 20 years of experience, Supplements everyday. we have gained valuable insights from our customers and strive to find the best solutions for our customer’s needs. Our team looks forward to working with you. 711 S. 13th St. Ste 100, Norfolk, NE 68701 Office: (402) 371-3136 Jay Knobbe and Angela Kratochvil




Profile for Senior Lifestyle Advantage Magazine

Fall/Winter 2018 Senior Lifestyle Advantage Magazine